HomeMy WebLinkAbout2013-01092 - plumbing CITY OF ORONO * Z 0 1 3 - 0 1 0 9 2 *
� 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2013
� ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 1529 MINNIE AVE
PIN : 08-117-23-33-0064
LEGAL DESC : HICKORY HILL
; LOT 004 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIXTURES-MULTIPLE
NOTE: PLUMBING FIXTURES: (4)WATER CLOSETS,(5)LAVATORIES,(2)BATHTUBS,(2)SHOWERS,(1)KITCHEN SINK,
(1)DISPOSAL,(1)DISHWASHER,(2)SILLCOCKS,(1)FLOOR DRAINS,(1)WASHER AND(1)WATER HEATER
VALUATION OF PLUMBING 12000
APPLICANT PLUMBING FIXTURE FEE 150.00
NORTH ANOKA PLUMBING STATE SURCHARGE PLBG(VALUATION) 6.00
22590 RUM RIVER BLVD.N.W. MAIL-IN FEE 2.00
MN 55070.
(763)753-3373 TOTAL 158.00
PAID WITH CC# 7809
OWNER
Landscource LLC
50 25TH AVE N
ST. CLOUD,MN 56303-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for onty the work described and does
not grant permission for additional or related work which requires sepazate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections aze
requested in conformance with the State Bui(ding Code.This permit may be
revoked at any time for d�e cause.
%Ll�.�'� � � / /
Applicant Permitee Signature Date Issued By nature ate
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E.
FOR CITY USE ONLY
,�` City of Orono
� �O`r � P.O.Box 66 Date Received: Permitl�j 3—D� �f�
����., �`��� 2750 Kclley Parkway
���+ �t��'�,� �'�� Crystal Bay,MN 55323 Approved By: Amount$:
`�t� ��,tU:,.e'`o`,.'' (952)249-4600
:�ssxoe
CITY OF ORONO— PLUMBING PERMIT
(All Commercial permits must be approved by the Building Official or Inspector)
GENERAL INFORMATION
1. You may apply for plumbing permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within two working days.
2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT
VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE
PERMIT CARD IS POSTED ON THE JOB SITE.
3. Plumbing permits may be issued ONLY to licensed plumbing contractors and to property owners
residing in the dwelling.
4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with State Code requirements.
6. All work must be inspected and air tested before it is covered. Call(952)249-4600.
(24-48 hour notice required)
TYPE OF PERMIT
Check All That A 1
�Residential ❑Commercial(Approval Required)
�] New ❑ Additional ❑Repairs ❑ Replace
❑ [n Accessory Structure?
*You will need prior approval and may need CUP.(Per Orono City Code,Chapter 78,Article [V)
Job Site /Owner Information:
Site Address: l 5�2� M; ,�n;� � v� .
Owner: Mailing Address:
City: Zip:
Home Phone: Alternate Phone:
Contractor Information:
Contractor: N� ��^o� ���m���� Contact Person: 1Cc�r e�, � a � s e r.�
N�
Address: 2ZS`-�b ��,.�-.Z�Ye-,Blud� StateBond #: �L (�yZB'8 �(
City: S-F,�rc�rc�s Zip: �SC`�� Expiration Date: t � - 3 1 - I 3
Phone: � � 3 -�� �3 - 3 j �3 Alternate Phone: l� I z —� � �t-`� 0 3 �
❑ Insurance— Current:
1
FIXTURE BSMT 1 2 OTHER FIXTURE BSMT I ZND OTHER
TYPE FL FL TYPE FL FL
Water Closet I � � Floor Drains
Lavatory I � Sewer Ejector
Bathroom �5�� Laundry Tray
Shower ' Washer
Kitchen Sink 1 Water Heater (
Disposal Water Softener
Dishwasher � Wet Bar
Sillcocks � Miscellaneous
❑ Yes,this section applies
The replacement of a Residential fixture or appliance that meets all three of the following requirements:
1. Does not require modification to electrical or gas service.
2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and
3. Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section,if this applies; Cost of Permit $ 15.00
State Surcharge $ .50
Mail-In Fee(If Applicable) $ 1.50
Total Permit Fee $
(Permit Fees Continued On Next Page)
2
If above does not apply;follow guidelines below:
1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00)
t'�, o o b X .0�25 $ 1 S�. o a
(co ract price) (minimum$35.00)
2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50)
`Z. O O U x.0005 $ � . O b
(c ntract price) (minimum$ .50)
3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �'s � ,�(�
■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the
permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged
to the customer for the work done. If any material, equipment, labor or installations are furnished by
the owner, tenant or any other party, the reasonable market value of such items must be added to the
estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the
amount of the job cost, the City may request the submission of a signed copy of the actual coniract.
■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50–whichever is
greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price.
The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all
work in strict accordance with the ordinances of the City and the regulations of the State of
Minnesota, and certifies that all statements made on this application are complete, true and
correct.
Applicant's Signature: - Date: �O —� 0 � �,�
„i� I I�
3
� DATE TIME �
CITY OF ORONO CALLED IN l�2--7
INSPECTION NOTICE SCHEDULED — r.7.'�
PERMIT NO���.3—�/�g ZcOMPLETED
ADDRESS l✓��9 ������ �
OWNER T EPHONE NO. G��Z Z� Z07S
CONTRACTOR N ���' �.���•
�; DESCRIPTION �` G� /—�
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
y ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL
Z � INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑, RADON SLAB � WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
v�i COMMENTS:
�
W
a
�
�
o S-' (�"�
�
O
�
W
�
Q
�
2
W
�
W
�
J
� �RKSATISFACTORY:PROCEED ❑ PROJECTCOMPLEfE
�
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOUFS. p pHOTO TAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALL INSPECTOR
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector._�A
White Copyllnspector's Flle Canary CopylSite Notiee
�� � �_ DATE TIME t�
CITY OF ORONO CA LEL D IN / - /
INSPECTION N TICE SCHEDULED l0- - �r0'�
PERMIT NO. � b �COMPLETED �
ADDRESS �5��/ � �-�'t�-�
OWNER TELEPHO 07�.3 �S� �.373
CONTRACTO
� DESCRIPTION rDr���- _y' J��� '"
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ C /GRADING/FILLING
Q � POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNEFi/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPIAINT
v O DEMO-SITE ❑ SEPTIC MAINT. ❑ fOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNbATION/REMOVAL
2 OWNERICONTRACTOR TO MEET YOU:_YES_NO
y COMMENTS:
�
W
�
� � �
O
>.
�
O
�
W
�
Q
�
2
W
�
W
�
�
J
d
W WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
w
O ❑CORRECT WORK,CAII FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL REfURN ❑CITATION ISSUED
❑STOP ORDER POSTED.CALLINSPECTOR
❑INSPECTION RE(�UIRED.CALL TO ARRANGE ACCESS.
Cal1 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector.
White Copyllnspector's File Canary CopylSite Notice
�., G
�r� '� �i. �..`� D '/ TIME
, CITY OF ORONO %�j CALLED IN `��`
INSPECTION OTICE C . SCHEDULED �7/�� ��
PERMIT NO. -' �� COMPLETED
ADDRESS `�J '-��j I �71/�/1/.P ;'�(,��
, —��.
OWNER TELEPHONE NO.� S ��
CONTRACTOR ,/��,���x���(3- / ��t/I�h ,
� DESCRIPTION �/)C�C � /�/ C..i/��J`� �
�
� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL
Q ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNERIFIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
J O DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPT C INSTALL ❑ HARD COVER REMOVAL
v ❑ PLUMBING RI ❑ SE IC FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU: YES_NO
c�., COMMENTS:
�
a ��—i..4 hnl���s .�os� b,xs - a�,
o l��✓ ti�4�e� � b� ��°h�d
'' -�(.� ►2 r/a l�Q - at�
� ,
° � Pro���.e -�ti� �4� �<<ss �/� �/ 4 F,�
QW � , • .
5�=4� frre927:tan. oeK�fr�to...
�
W ew�odG� /'oo� .
�
W
�
J
d
W� ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
� ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECdVERiNG PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-4600
OwnerlContractor on site:
Inspector. �✓
Whi Copyltnspector's File Canary CopylSite Notice